<form id="form1" method="post" action="some_action" enctype="multipart/form-data">
	<input type="hidden" name="kode" id="kode" value="<?=$kode?>">
	<table width="750" height="267" border="0" cellpadding="2" cellspacing="2" style="margin:5px 15px;">
		<tr>
			<td align="left" valign="top" width="360px">
				<div class="fitem" >
					<label style="width:100px">Kode Universitas </label>:
					<input name="kd_pt" size="10" value="<?=$kd_pt?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Nama Universitas </label>:
					<input name="Nama" size="30" value="<?=$Nama?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Tanggal Berdiri</label>:
					<input class="easyui-datebox" name="TglMulai" size="13" value="<?=$TglMulai?>" id="TglMulai" data-options="formatter:DateFormatter">
				</div>
				<div class="fitem">
					<label style="width:100px;vertical-align:top;">Alamat Universitas </label>
					<textarea name="Alamat1" id="Alamat1" cols="25" rows="3"><?=$Alamat1?></textarea>
				</div>
				<!--<div class="fitem" >
					<label style="width:100px;vertical-align:top;">Alamat 2 </label>
					<textarea name="Alamat2" id="Alamat2" cols="25" rows="3"><?=$Alamat2?></textarea>
				</div>-->
				<div class="fitem" >
					<label style="width:100px">Kota </label>:
					<input name="Kota" size="15" value="<?=$Kota?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Kode Pos </label>:
					<input name="KodePos" size="10" value="<?=$KodePos?>">
				</div>
			</td>
			<td width="20px">&nbsp;</td>
			<td align="left" valign="top">
				<div class="fitem" >
					<label style="width:100px">Telepon </label>:
					<input name="Telepon" size="20" value="<?=$Telepon?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Fax </label>:
					<input name="Fax" size="20" value="<?=$Fax?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Email </label>:
					<input name="Email" size="30" value="<?=$Email?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Website </label>:
					<input name="Website" size="30" value="<?=$Website?>">
				</div>
				<div class="fitem" > 
					<label style="width:100px"> </label>
				</div>
				<div class="fitem" >
					<label style="width:100px">Akta Pendirian </label>:
				</div>
				<div class="fitem" >
					<label style="width:100px">No Akta </label>:
					<input name="NoAkta" size="15" value="<?=$NoAkta?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Tanggal Akta </label>:
					<input class="easyui-datebox" name="TglAkta" size="13" value="<?=$TglAkta?>" id="TglAkta" data-options="formatter:DateFormatter">
				</div>
				<div class="fitem" > 
					<label style="width:100px"> </label>
				</div>
				<div class="fitem" >
					<label style="width:100px">SK Dikti  </label>:
				</div>
				<div class="fitem" >
					<label style="width:100px">No Sah  </label>:
					<input name="NoSah" size="15" value="<?=$NoSah?>">
				</div>
				<div class="fitem" >
					<label style="width:100px">Tanggal Sah </label>:
					<input class="easyui-datebox" name="TglSah" size="13" value="<?=$TglSah?>" id="TglSah" data-options="formatter:DateFormatter">
				</div>
				<div class="fitem" > 
					<label style="width:100px"> </label>
				</div>
				<div class="fitem" >
					<label style="width:100px">Logo </label>:
					<!--<input name="Logo" size="30" value="<?=$Logo?>">-->
					<input name="userfile" value="Logo" type="file" size="10"/>
				</div>
				<div class="fitem" >
					<label style="width:100px">Status</label>: 
					<input type="checkbox" name="status" <?=$status=='A'?'Checked="checked"':''?>/>&nbsp;Aktif
				</div>
			</td>
		</tr>
	</table>
</form>

	

